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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977196 <br />Hard Rock Paving and Redi -Mix, Inc. <br />000000000 <br />28992 SMS 1 4300 -01 1 Minerals Annual Fees <br />M1977 -196 <br />Receipt # <br />Date <br />Permit: <br />17063 <br />03/21/2014 <br />M1977196 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />